Individual
KOSTAS SIDERIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
237 JERICHO TURNPIKE, SYOSSET, NY 11791
(516) 584-6400
(516) 584-6399
Mailing address
237 JERICHO TURNPIKE, SYOSSET, NY 11791
(516) 584-6400
(516) 584-6399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
220299
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760525
—
NY
Enumeration date
09/17/2006
Last updated
06/02/2009
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